| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
11,176 |
6,559 |
$978K |
| 99050 |
|
69 |
53 |
$782.78 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,478 |
3,415 |
$141.21 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
865 |
713 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,181 |
955 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
70 |
62 |
$0.00 |
| 87430 |
|
112 |
92 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
54 |
39 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
14 |
13 |
$0.00 |
| 99000 |
|
1,317 |
556 |
$0.00 |
| 92551 |
|
97 |
91 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
373 |
154 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
13 |
13 |
$0.00 |
| 99173 |
|
102 |
96 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
67 |
56 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
293 |
116 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,378 |
1,163 |
$0.00 |
| 81002 |
|
110 |
87 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
30 |
28 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
43 |
39 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$0.00 |